Individual
DR. MELROSE DENISE ALLEN-NGALULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
417 W 3RD AVE, ALBANY, GA 31701-1943
(706) 354-5770
(706) 354-5769
Mailing address
PO BOX 408, ALBANY, GA 31702-0408
(205) 437-6098
(205) 437-5998
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
057346
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306302721A
—
GA
05
—
306302721B
—
GA
01
—
354700
WELLCARE
GA
01
—
52704149
BCBS PROVIDER NUMBER
GA
01
—
P00304290
RAILROAD MEDICARE
GA
Enumeration date
05/04/2006
Last updated
07/09/2008
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